Treating Severe Ankle Arthritis with Regenexx-SD

We’re hard on ourselves. Based on the almost 10,000 Regenexx-SD treated patients on whom we’ve tracked and recorded outcomes, we have noted several trends. Based on that data, we often tell patients that they’re not great candidates for this type of procedure. Sometimes they prove us wrong. The video above was sent by a patient with severe ankle arthritis who was treated here at our Colorado clinic a little less than a year ago. In this case, I love being wrong!

Ankle Arthritis—What You Should Know

The single biggest cause of ankle arthritis that we see consistently in the clinic is occult instability. This is where someone sprains an ankle and while they seem to recover, the ligaments that protect the ankle joints are stretched out. Over time, the slight extra motions in the ankle lead to breakdown in the joint, and arthritis develops.

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Jim’s Ankle Odyssey

Jim was evaluated by myself about a year ago. He had an 8-year history of ankle pain, which wasn’t helped by the fact that as a firefighter he is required to carry heavy backpacks. The joint would also swell with hiking.

At that time, his MRI showed severe ankle arthritis with cysts in the bone and what’s called a BML. This is an area in the bone that can cause pain and is swollen on the MRI. It’s an indication of microfractures in the struts that support the structure of the bone. The surgical solution for this side was an ankle fusion. In this surgery, screws are placed across the many ankle joints to bolt them together and irreversibly stop motion. His other ankle had a stretched-out deltoid ligament with more mild arthritis. He also had irritated nerves in his low back.

Based on our registry data, I told Jim that his ankle with severe arthritis wasn’t a good candidate. This is based on treating hundreds of ankle patients over the years and reviewing our registry data to figure out which ones do the best. However, the problem with looking at large amounts of data is that any one person can be an outlier and prove you wrong.

About a year ago, we treated all of these areas. This included precise injections into the arthritic joints using our proprietary HD-BMC technique as well as treating the stretched ligaments. Finally, we also injected some of his stem cells into the bone lesion using X-ray guidance.

How did Jim do? A video is worth a thousand words! See above.

The upshot? We’re honest with patients and give them the benefit of the registry data we’ve collected. At the end of the day, we try to underpromise and overdeliver. In Jim’s case of severe ankle arthritis, I’m very glad to have been wrong!

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications. View Profile

If you have questions or comments about this blog post, please email us at [email protected]

NOTE: This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you.

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